Tamil Nadu Chief Minister Comprehensive Health Insurance Scheme 2017

June 14, 2017 | By Jagjit Singh | Filed in: Government Schemes, State Government, Tamil Nadu, Yojana.

The Chief Minister’s comprehensive health insurance scheme is aimed at benefiting 1.34 crore families. The chief minister of Tamil Nadu Jayalalithaa distributed identity cards and approval letters for the treatment to seven beneficiaries at the Secretariat to mark the inauguration.

She also handed over a cheque of INR. 183.64 Crore to the chairman and managing director of the United India Insurance Company (which has been chosen to implement the scheme).

Via

Benefits of the scheme

  • The Chief Minister Comprehensive Health Insurance scheme provides benefits in the form of free medical and surgical treatment in government and private hospitals
  • The scheme provides cashless hospitalization facility for certain specified procedures. The scheme provides coverage up to INR. 1, 00,000 per family per year on a floater basis for the ailments and procedures
  • For certain specified ailments and procedures of critical nature, the overall limit is increased from INR. 1, 00,000 to INR. 1,50,000

Required eligibility and conditions to apply for the Insurance Scheme

  • Every member of a family whose annual family income is less than Rs.72,000/- as certified by Village Administrative Officer
  • Other people who are be declared to be eligible for coverage under the “Chief Minister’s Comprehensive Health Insurance Scheme” by the Government will be “Eligible Persons” under the scheme
  • All candidates who are in family should have name in ration card
  • “Family” includes the eligible member and the members of his or her family as detailed below
  • Legal spouse of the eligible person
  • Children of the eligible person till they get employed or married or attain the age of 25 years, whichever is earlier, and who are dependent on the eligible person.
  • Dependent parents of the eligible person

Documents required

  • Ration card
  • Income certificate
  • Smart card of scheme (The new enrollment and issue of cards will be through district kiosk established by the insurance company at the District Collectorate)
  • Aadhar card

Application procedure

  • Free health camps will be conducted by network hospitals as per the directions were given by Project Director of Tamil Nadu Health Systems Society. Minimum of one camp per month per empanelled hospital will be held in the districts in each policy year. The persons who need treatment are identified in the Health camps. Such patients can approach the hospital in the network and follow the guidelines below
  • A new Health Insurance identity card with biometrics is being issued to all those members who have been holding the smart cards in the earlier scheme.
  • Till such time new cards are issued the public can use the earlier smart (Health) cards
  • This card should be shown at the Assistance Counter established at the empanelled hospital.
  • After due verification of the details and authenticating the identity of the patient by the Liaison Officer, the necessary Pre-authorization request for the cashless facility will be submitted by the DMO of the hospital.
  • The Project Office will approve the request for authentication of the identity and provided the procedure planned is within the Scheme

Whom to contact and where to contact?

  • Project Office:
    No 226, Om Shakti Towers,
    Kilpauk Garden Road, Kilpauk,
    CHENNAI – 600010, Tamil Nadu, India
  • Toll-Free Number: 1800 425 3993
  • For getting hospital address and contact details please click here

References & details

  1. For more details regarding documents and other help please visit official website
  2. Hospital list
  3. Diagnostic Center

 

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